SMR 2021 Registration
Please fill out a registration form for each SMR participant.  Thanks!
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PARTICIPANT'S INFO
First Name *
Last Name *
Phone Number *
Street Address *
Town/City *
Province *
Postal Code *
Email Address *
The best way to communicate with me is:
Date of Birth *
MM
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Gender Category *
Required
#1 Emergency Contact Name *
#1 Emergency Contact Number *
#1 Emergency Contact Relationship *
#2 Emergency Contact Name *
#2 Emergency Contact Number *
#2 Emergency Contact Relationship *
Do you have any medical conditions/take medications/allergies that we should be made aware of?
Are you already an ABA Member for 2021? (ie. with another club) *
The programs I am MOST interested in (Please check ALL that apply):
Yes!
No Thanks.
Maybe. Possibly. I'm not sure.
SMR Monday Night Youth Club Ride (Ages 5-17) (6:15-7:30pm)
SMR Monday Night Club Ride (7:30-8:45pm)
SMR Tuesday Night Ladies Ride (6:45-8:30pm)
SMR Wednesday Night Club Ride (6:45-8:30pm)
SMR Mountain Trips (Extra costs required) (Various Dates)
SMR EPIC Toonie Race Series ($2/Person/Race) (Various Dates)
Intro to Mountain Biking Camps (Various Dates)
Advanced Skill Clinics (Various Dates)
Basic Mountain Bike Maintenance Clinics (Various Dates)
SMR Family BBQ & Ride (3rd Thursday of the Month)
T-shirt Size
XS
S
M
L
XL
XXL
3XL
4XL
Youth
Men's
Women's
We are looking forward to an awesome Mountain Biking Season!  Everyone wins when everyone pitches in however they can.  Let us know what you are interested in helping out with.
Yes
No Thanks.
Possibly. I am not sure.
Ride Leader
Ride Sweep
Race Support (Registration, time judge, set up/clean up, photographer, etc.)
Out of town trips Food Prep or Shopping
Out of town Driver
Trail Building/Maintenance (No Experience Required)
SMR Executive (Meets 1-2 times/year)
Flyer delivery
Sponsorship of the club
Video Waiver/Media Consent Form
I hereby authorize any images or video footage taken of myself and/or my youth (under 18 years of age), in whole or in part, individually or in conjunction with other images and video footage, to be displayed on the Savy Mountain Riders Website and/or the Savy Cycle Website and/or other official channels, and to be used for media purposes including promotional presentations and marketing campaigns. I also authorize the display and use of any media material created by myself or my youth.

I waive rights to privacy and compensation, which I may have in connection with such use of my name and likeness or my youth’s name and likeness, including rights to be written copy that may be created in connection with video production, editing and promotion therewith.



By selecting the "Yes" checkbox and typing my name below I am electronically signing that I understand and am in agreement with the above Video Waiver/Media Consent Form. *
Required
Electronic Signature *
Please type your First and Last Name
SMR Code of Conduct
SMR Code of Conduct *
Required
Payment
Membership Fee *
Memberships are required for all riders and are due by participant's 2nd ride.  (Individuals may try out the club one time before committing.)  Please email us at rod@savycycle.ca if you are interested in a 3 month payment plan or check out our subsidy program on our website.  
Preferred Payment type *
We are not able to take payment online at this time.  What is your preferred payment type?
Youth/Adult Liability Waiver Forms
Waiver Form *
Required
Optional Testimonial for our website!
The testimonials will be anonymous.  We may put your age but no names will be used.  Thanks in advance!!!
If you have been a part of SMR previously, tell us what you love or have appreciated about the club!  
Authorized Signature
Signature (of 18+ Participant or Parent/Guardian of Minor) *
By entering my name below I am effectively providing my signature that the information I have given above is correct and complete.
Date *
MM
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Thanks!  
If you have any questions please feel free to contact us at 403-350-4972 or rod@savycycle.ca
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